HIV BALI 2014The Good The Bad the Ugly

The Good, The Bad & the Ugly

December the 1st is world AIDS Day – a good time to reflect on your awareness of what’s going in this country and especially this Island in regards to the global problem.
Globally the goods news is that the growth of HIV has declined however there are a handful of countries where there has been a significant HIV presence for some time but which have not succeeded in bringing down AIDS deaths and HIV disability. Indonesia is one of those countries and has not decreased its HIV/AIDS statistics at all.
With over 250 million inhabitants, Indonesia is the fourth most populated country in the world and the country with the fastest growing HIV epidemic in Asia.

The GOOD News

• Indonesia is working toward providing free health care for all. Jokowi’s nationwide universal health care should be implemented beginning in January 2015.
• Since the appointment of Health Minister Nafsiah Mboi in 2012, Indonesia has massively increased access to HIV testing and now offers early antiretroviral treatment. As long as the new administration stays on course, and continues to invest in early testing and early treatment, Indonesia should be able to improve care, treatment and prevention of HIV AIDS sufferers.

The BAD News

• Indonesia, Pakistan and the Philippines were the only three countries in the Asia-Pacific region with a trend of increased HIV infections in 2014, according to the United Nations.
• About 0.43 percent of the adult population, or about 640,000 people, are infected with HIV in Indonesia.
• HIV/AIDS cases in Bali are spiraling upward with 100 new cases found every month across the island since early 2013. The rate of increase in children under 12 is approximately 40 new cases per year.
• The major method of transmission is through heterosexual intercourse. Rough data estimates that there are 3,000 commercial sex workers in Bali, 20 percent of whom are HIV positive. The number of people who use their services is estimated to reach around 80,000 per year. Only about 40% of those sex workers use condoms.
• Bali is predicted to have an annual increase of narcotic drug users of 2.8%. This has a direct relationship to the rise of HIV/AIDS on the Island.
• HIV Targets for the Millennium Development Goals (MDGs), have fallen way below target. As of 2012, the HIV prevalence rate had reached around 0.12 percent of the total population. Based on the MDG target, the prevalence should be less than 0.05 percent in 2015. The proportion of residents receiving HIV/AIDS information has also only reached 29 percent, far below the targeted 95 percent.
• Indonesia’s five-year strategic plan to combat HIV/AIDS ends this year and domestic funding of the plan is at about 40 percent, much lower than the targeted 70 percent.
• The United Nations, in a report released every two years on the world HIV and AIDS epidemic, said recently that new infection rates in Indonesia were a “cause for concern.”

Ugly is the ignorance and prejudice. As long as the population at large remains ignorant regarding HIV/AIDS, and as long as the current prejudices against those affected by the virus exist, then HIV will continue to be a problem.

What can I do to help?

The key to curbing the HIV epidemic is awareness. Make an effort to educate all those around you starting at home.
If you would like to educate local friends, staff etc here is an excellent link to a comprehensive fact sheet on HIV in Indonesian
Or for a more simple point by point fact sheet:

Where can local people get advice and testing?
• Yayasan Kerti Praja –
Jalan Raya Sesetan, No 270, Denpasar
Phone: +62(0) 361 728916/17
• Yayasan Rama Sesana (YRS) – is a non-profit reproductive health clinic inside Bali’s largest traditional market, Pasar Badung and now in Sanur at Pasar Intaran. YRS is a well-known centre for information about safe health practices and affordable, high quality reproductive health services provision for vulnerable low income women in Bali.

Kim Patra is a qualified Midwife & Nurse Practioner who has been living and working in Bali for over 30 years. She now runs her own Private Practice & Mothers & Babies center at her Community Health Care office in Sanur.
Kim is happy to discuss any health concerns that you have and may be contacted via email at or office phone number 0361-2775666

Copyright © 2014 Kim Patra
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Paradise…in Sickness & in Health at